Active NPI
Therese Hanigan, APN,CNP
- Specialist
- Park Ridge, IL
National Provider Identifier
1942228978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 041237818
- Practice address
- 2601 Dempster St
Park Ridge, IL 60068-1155 - Phone
- (847) 825-4058
- Fax
- (847) 825-4060
- NPI assigned
- Jul 17, 2006
- Last updated
- Sep 8, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 041237818 | IL | Primary |
Addresses
Primary practice location
2601 Dempster St
Park Ridge, IL 60068-1155
Mailing address
2601 Dempster St
Park Ridge, IL 60068-1155
Phone (630) 832-6935
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Medical Group, Inc. | Current | Accepting new patients | |
| Midwest Home Physicians Inc | Current | Accepting new patients | |
| Maine East School Based Health Center | Past | Accepting new patients |
Locations
6421 N Hamlin Ave
Ste F
Lincolnwood, IL 60712
Phone (847) 324-9728
15255 S 94th Ave
Ste 500
Orland Park, IL 60462
Phone (708) 403-4055
Interoperability endpoints
- https://api.platform.athenahealth.com/683/brand/4/csg/61/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Orland Park, IL
- NPI 1285972505
-
- Student Health Clinic/Center
- Park Ridge, IL
- NPI 1073652657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220832000000",
"number": "1942228978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 DEMPSTER ST",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681155",
"telephone_number": "630-832-6935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 DEMPSTER ST",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681155",
"telephone_number": "847-825-4058",
"fax_number": "847-825-4060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANIGAN",
"first_name": "THERESE",
"credential": "APN,CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2008-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "041237818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.